Individual
ERIKA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 GODWIN AVE, MIDLAND PARK, NJ 07432-1507
(201) 444-4991
Mailing address
42 MOUNTAIN AVE, POMPTON PLAINS, NJ 07444-1040
(973) 835-6046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00586700
LICENSE#
NJ
Enumeration date
11/01/2006
Last updated
07/08/2007
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